Dornase Alfa Coupon - Dornase Alfa 30 ampules of 1mg/ml carton
Dornase Alfa
Specialty Drug

Pulmozyme

DORNASE ALFA breaks up lung congestion in patients with cystic fibrosis. It is used to improve how well the lungs work. This medicine also decreases the risk of getting a lung infection. The lowest GoodRx price for the most common version of Pulmozyme is around $3,432.00, 16% off the average retail price of $4,104.19. Compare recombinant human DNases.
Dornase Alfa Coupon - Dornase Alfa 30 ampules of 1mg/ml carton

Dornase Alfa Medicare Coverage

Overview

Does Medicare cover Pulmozyme?

Yes.
100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Pulmozyme co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$976 – $3770
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$833 – $3671
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1499 – $1776
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$167 – $189
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Dornase Alfa

Here are some ways that may lower the cost of your Pulmozyme prescription.

Manufacturer Coupon
Enroll to see discount amount
Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Save at least $5 per month on your prescription.

Find Your Dornase Alfa Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 carton (30 ampules) of Pulmozyme 1mg/ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $1444
AARP MedicareRx Saver Plus (PDP) $906
AARP MedicareRx Walgreens (PDP) $872
Aetna Medicare Rx Saver (PDP) $956
Anthem Blue Cross MedicareRx Plus (PDP) $1155
Anthem MediBlue Essential (HMO) $1065
Cigna-HealthSpring Preferred (HMO) $1047
EnvisionRxPlus (PDP) $905
Express Scripts Medicare - Choice (PDP) $903
Express Scripts Medicare - Value (PDP) $868
First Health Part D Value Plus (PDP) $1196
Humana Enhanced (PDP) $1115
Humana Preferred Rx Plan (PDP) $845
Humana Walmart Rx Plan (PDP) $845
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $976
MedicareBlue Rx Standard (PDP) $882
SilverScript Plus (PDP) $1161
Symphonix Value Rx (PDP) $906
TexanPlus Classic (HMO) $2908
WellCare Classic (PDP) $900
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Dornase Alfa Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Pulmozyme that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your health care provider fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Pulmozyme typically on?

Tier 5

Medicare plans typically list Pulmozyme in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of July 2018 and the information may be updated. If you encounter any issues, please let us know.
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